This Fiscal Note is not an official copy and should not be quoted or cited.
This Fiscal Note is not an official copy and should not be quoted or cited.
Fiscal Note - SB 0807 - County boards for developmentally disabled
COMMITTEE ON LEGISLATIVE RESEARCH
OVERSIGHT DIVISION
FISCAL NOTE
L.R. NO. 2073-06
BILL NO. SB 807
SUBJECT: Disabilities; Counties; Political Subdivisions; Mental Health; Boards, Commissions, Councils
TYPE: Original
DATE: January 28, 1998
FISCAL SUMMARY
ESTIMATED NET EFFECT ON STATE FUNDS Net Effect on All State Funds
FUND AFFECTED
FY 1999
FY 2000
FY 2001 Mental Health Trust
$0
$0
$0
Total Estimated
$0
$0
$0
|
ESTIMATED NET EFFECT ON FEDERAL FUNDS | |||
| FUND AFFECTED | FY 1999 | FY 2000 | FY 2001 |
| Federal funds | $0 | $0 | $0 |
| Total Estimated
Net Effect on All Federal Funds |
$0 | $0 | $0 |
|
ESTIMATED NET EFFECT ON LOCAL FUNDS | |||
| FUND AFFECTED | FY 1999 | FY 2000 | FY 2001 |
| Local Government | $0 to ($7,067,085) | $0 to ($7,067,085) | $0 to ($7,067,085) |
Numbers within parentheses: ( ) indicate costs or losses
This fiscal note contains 4 pages.
FISCAL ANALYSIS
ASSUMPTION
Officials from the Department of Elementary and Secondary Education and the Department of Social Services assume this proposal would not fiscally impact their agencies.
Department of Mental Health (DMH) officials state the proposal would give more flexibility to county boards in the types of services they provide. DMH states the proposal changes the "may" to "shall", which means the county boards would be mandated to provide sheltered workshops and residential services. DMH states that some county boards now use part of their funds for sheltered workshops, other county boards may not. In addition, DMH states that some county boards may use funds for residential services, and others may not. DMH states that in an effort to provide sheltered workshops and residential services, the county boards may have to take dollars currently sent to DMH to match waiver services for DMH clients. DMH assumes this proposal could have a potential fiscal impact for DMH of $0 to $4,411,390 in the Mental Health Trust Fund. DMH state the Mental Health Trust Fund is used as match for the Home and Community Based waiver Medicaid Program. Therefore, DMH states another $0 to $7,067,085 in federal Medicaid match dollars could be lost. DMH estimates this could result in up to 942 clients not receiving community supports. In addition, DMH states that loss of federal match would also be lost by the county boards.
The Boone County Group Homes and Family Support, the Franklin County Board for the Handicapped, and Cole County Residential Services did not respond to our fiscal impact request.
| FISCAL IMPACT - State Government | FY 1999 | FY 2000 | FY 2001 |
| (10 Mo.) | |||
| MENTAL HEALTH TRUST FUND | |||
| Savings - Department of Social Services | |||
| Matching payment to county boards | $0 to | $0 to | $0 to |
| $4,711,390 | $4,711,390 | $4,711,390 | |
| Loss - Department of Mental Health | |||
| Home and Community based Waiver | |||
| Loss of local match | $0 to | $0 to | $0 to |
| ($4,711,390) | ($4,711,390) | ($4,711,390) | |
| FISCAL IMPACT - State Government | FY 1999 | FY 2000 | FY 2001 |
| (continued) | (10 Mo.) | ||
|
ESTIMATED NET EFFECT ON | |||
| MENTAL HEALTH TRUST FUND | $0 | $0 | $0 |
| FEDERAL FUNDS | |||
| Savings - Department of Social Services | |||
| Matching payment to county boards | $0 to | $0 to | $0 to |
| $7,067,085 | $7,067,085 | $7,067,085 | |
| Loss - Department of Mental Health | |||
| Home and Community based Waiver | |||
| Loss of local match | $0 to | $0 to | $0 to |
| ($7,067,085) | ($7,067,085) | ($7,067,085) | |
|
ESTIMATED NET EFFECT ON | |||
| FEDERAL FUNDS | $0 | $0 | $0 |
| FISCAL IMPACT - Local Government | FY 1999 | FY 2000 | FY 2001 |
| (10 Mo.) | |||
| Loss - County Boards | |||
| Matching payment from DMH | $0 to | $0 to | $0 to |
| ($7,067,085) | ($7,067,085) | ($7,067,085) | |
|
ESTIMATED NET EFFECT ON | |||
| COUNTY BOARDS | $0 to | $0 to | $0 to |
| ($7,067,085) | ($7,067,085) | ($7,067,085) | |
FISCAL IMPACT - Small Business
No direct fiscal impact to small businesses would be expected as a result of this proposal.
DESCRIPTION
This proposal would authorize county boards for developmental disabilities, known as "SB 40 Boards", to provide "related services" as defined in this proposal to cover services needed by persons with developmental disabilities, except that all new "related services" provided after the August 28, 1998, would be provided under a contract with the county board. Each county board DESCRIPTION (continued)
would establish an advisory council as specified in the proposal. The advisory council would coordinate an independent community needs assessment, assist in creating a plan to address the identified need, and make an annual report on progress in implementing the plan. The proposal
provides that the county board would have full control over all activities of the board, in addition to the facilities established by the board. The county board would expend its funds for any purpose authorized for county boards in Sections 205.968 to 205.972, RSMo.
This legislation is not federally mandated, would not duplicate any other program and would not require additional capital improvements or rental space.
SOURCES OF INFORMATION
Department of Elementary and Secondary Education
Department of Mental Health
Department of Social Services
NOT RESPONDING: Boone County Group Homes and Family Support, Franklin County Board for the Handicapped, and Cole County Residential Services
Jeanne Jarrett, CPA
Director
January 28, 1998